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左旋甲状腺素治疗难治性快速循环型躁郁症:临床观察

Treatment of intractable rapid-cycling manic-depressive disorder with levothyroxine. Clinical observations.

作者信息

Stancer H C, Persad E

出版信息

Arch Gen Psychiatry. 1982 Mar;39(3):311-2. doi: 10.1001/archpsyc.1982.04290030045008.

DOI:10.1001/archpsyc.1982.04290030045008
PMID:7065841
Abstract

Hypermetabolic doses of levothyroxine sodium produced remissions in five of seven women with intractable manic-depressive illness who were followed up for nine months to nine years. These patients had previously required long-term or frequent psychiatric hospitalization. The onset of illness was during the postpartum or involutional period and soon developed into cycles of four or more episodes yearly that did not respond to therapy with lithium carbonate, antidepressants, or neuroleptics. The levothyroxine treatment was unsuccessful in two men and one adolescent girl.

摘要

超代谢剂量的左甲状腺素钠使7名患有难治性躁郁症的女性中的5名病情缓解,对她们进行了9个月至9年的随访。这些患者此前需要长期或频繁的精神科住院治疗。发病于产后或更年期,很快发展为每年发作4次或更多次的循环发作,对碳酸锂、抗抑郁药或抗精神病药物治疗均无反应。左甲状腺素治疗对2名男性和1名青春期女孩无效。

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Rapid cycling bipolar disorder: Literature review on pharmacological treatment illustrated by a case report on ketamine.快速循环型双相障碍:文献综述及病例报告(以氯胺酮为例)
Brain Behav. 2022 Feb;12(2):e2483. doi: 10.1002/brb3.2483. Epub 2022 Jan 18.
3
Comparison of thyroid function in different emotional states of drug-naïve patients with bipolar disorder.
比较初诊双相障碍患者不同情绪状态下的甲状腺功能。
BMC Endocr Disord. 2021 Oct 21;21(1):210. doi: 10.1186/s12902-021-00869-5.
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Role of thyroid hormone therapy in depressive disorders.甲状腺激素治疗在抑郁障碍中的作用。
J Endocrinol Invest. 2021 Nov;44(11):2341-2347. doi: 10.1007/s40618-021-01600-w. Epub 2021 Jun 15.
5
Remission of classic rapid cycling bipolar disorder with levothyroxine augmentation therapy in a male patient having clinical hypothyroidism.一名临床甲状腺功能减退男性患者通过左甲状腺素增强疗法使经典快速循环型双相情感障碍得到缓解。
Neuropsychiatr Dis Treat. 2015 Feb 10;11:339-42. doi: 10.2147/NDT.S76973. eCollection 2015.
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Hypothyroidism and depression.甲状腺功能减退与抑郁症。
Eur Thyroid J. 2013 Sep;2(3):168-79. doi: 10.1159/000353777. Epub 2013 Aug 27.
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Thyroid functions and bipolar affective disorder.甲状腺功能与双相情感障碍。
J Thyroid Res. 2011;2011:306367. doi: 10.4061/2011/306367. Epub 2011 Jul 26.
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[High dose L-thyroxine in therapy refractory depression. Case analysis and catamnesis as quality control].
Nervenarzt. 2004 Mar;75(3):242-8. doi: 10.1007/s00115-003-1550-1.
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Rapid cycling bipolar disease: new concepts and treatments.快速循环型双相情感障碍:新概念与治疗方法。
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